Evaluation of Sexual Function Problems in Multiple Sclerosis Patients

Abstract

Abstract Background: Sexual dysfunctions are often observed in Multiple Sclerosis, affecting the quality of life but are frequently ignored. Our study aims to examine the relationship between demographic data, clinical symptoms, functional capacity, and quality of life in patients with MS and sexual dysfunction. Methods: A total of 51 sexually active MS patients, 28 female and 23 males, were included in the study. Demographic data of all patients were recorded. Questionnaires included Female Sexual Function Index (FSFI) for women's sexual function, the International erectile function form (IIEF)c for men's sexual function, EDSS for functional capacity, SF-36 for quality of life, and Timed 25 Foot Walk test (T25FW) were applied. Results: Sexual dysfunction was found in 92.9% of women and 73.9% of men. Decreased sexual arousal, lubrication, and orgasm problems were most common in women, while erectile dysfunction, sexual desire, and sexual satisfaction problems were prominent in men. A significant correlation was found between FSFI and SF-36 in women and IIEF and nine holes, EDSS, and SF-36 in men. In conclusion: Sexual dysfunction is common in men and women patients with MS and can affect different aspects of the quality of life. Increased awareness is important for appropriate treatment methods and quality of life.